Plastic and Craniofacial Surgery for Infants and Children, P.a.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

PLASTIC AND CRANIOFACIAL SURGERY FOR INFANTS AND CHILDREN, P.A.

Doing business as

Plastic and Craniofacial Surgery for Infants and Children, P.A.

Practice address

6300 Harry Hines Blvd
#600
Dallas, TX 75235-5259

Phone

(214) 456-8834

Fax

(214) 456-6843

NPI assigned

Feb 14, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kerri G Mitchell

Title

Business Manager

Phone

(214) 456-8834

Specialties & licenses 1

Addresses

Other names 1

• Plastic and Craniofacial Surgery for Infants and Children, P.A. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225002538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35046",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350046",
            "telephone_number": "214-456-8834",
            "fax_number": "214-456-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HARRY HINES BLVD",
            "address_2": "#600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355259",
            "telephone_number": "214-456-8834",
            "fax_number": "214-456-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC AND CRANIOFACIAL SURGERY FOR INFANTS AND CHILDREN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "214-456-8834"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic and Craniofacial Surgery for Infants and Children, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Dallas, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.